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` City of Everett <br />Date <br />Gas installation Permit INSPECTION DIVISION <br />DEPARTMENT OF PUBLIC WORKS <br />3 4 &-e <br />ApplAances' <br />Address — <br />S�(J �� � <br />Conversion UnitsOwner <br />/)// <br />to 400,00o BTU <br />CpnVCrs'a. Units <br />Installer <br />aver 400,000 BTCookstoWsCity <br />of Everett, by P� � <br />Rangy Tops —O—IMPORTANT <br />NOTICEFurnaces <br />to 400Furnaces <br />the Ordinances of the City of Everett, <br />over 4All <br />work must conform to the provisions of <br />It is the responsibility of the Permit Holder to see that City Inspection <br />Space Heaters to 70,000 BTUs <br />Washington. <br />Division is notified and the installation inspected before covering. <br />Space Heaters over <br />LogRemarks <br />and Corrections:Water <br />AISTUsFireplace <br />Heaters <br />PipingPipe <br />in excess of 6 <br />Inspection — Date Inspector <br />Clothes Dryers <br />Air Conditioning Units <br />Call Back —0..m Inspector <br />Boiler <br />Final — Date Insp^ctor <br />This Permit must be posted on Job before Starting Installation, <br />�"" <br />3240 <br />Permit Fee $ <br />Permit <br />... <br />